首页|岛礁官兵慢性疲劳综合征临床特征及影响因素分析

岛礁官兵慢性疲劳综合征临床特征及影响因素分析

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目的 调查岛礁官兵慢性疲劳综合征(CFS)临床特征并分析其影响因素.方法 随机整群抽取 1 010 例某部驻岛官兵进行问卷调查.采用CFS影响因素调查表评定其发生情况并分析相关影响因素,结合中医体质量表分析体质对CFS发病的影响,通过Logistic回归模型分析中医体质、生活习惯、情绪等因素与CFS的关系.结果 回收有效问卷 1 002 份.1 002 名官兵中CFS 220 例(21.96%).单因素Logistic回归分析显示,CFS组的年龄(≥25 岁)、性别(男性)、体重指数(BMI)、婚姻状况(已婚或离异)、工作年限(≥6 年)、岗位性质(管理层)、睡眠时间(<6 h)、饮酒、每周运动(>3 次)、焦虑、抑郁、各型体质(A~I型)比例与非CFS组相比差异均有统计学意义(P<0.05).多因素Logistic回归分析显示,年龄(≥25 岁)、睡眠时间(<6 h)、饮酒、阴虚质(D型)、痰湿质(E型)、气郁质(H型)为CFS的危险因素,OR(95%CI)分别为 1.851(1.278~2.682)、2.026(1.367~3.004)、1.969(1.172~3.305)、1.696(1.012~2.842)、1.750(1.055~2.902)、2.703(1.674~4.365);平和质(A型)为CFS的保护因素,OR(95%CI)为 0.240(0.154~0.372).结论 岛礁官兵CFS发病率较高(21.96%),且CFS与中医体质相关,阴虚质(D型)、痰湿质(E型)和气郁质(H型)的人群更易患CFS,年龄>25 岁、睡眠时间<6 h及饮酒均是CFS的危险因素.
Clinical characteristics and influencing factors of chronic fatigue syndrome in officers and soldiers on islands and reefs
Objective To investigate the clinical characteristics and influencing factors of chronic fatigue syndrome(CFS)in officers and soldiers on islands and reefs.Methods A random cluster sampling of 1 010 officers and soldiers stationed in a certain department on the islands and reefs was conducted for a questionnaire survey.The CFS influencing factor questionnaire was used to evaluate its occurrence and related factors.The influence of body constitution on the occurrence of CFS was analyzed by the constitution scale of Traditional Chinese Medicine(TCM).Logistic regression model was used to analyze the relationship between CFS and related factors,such as TCM constitution,living habits,and emotions.Results A total of 1 002 valid questionnaires were retrieved.There were 220 patients(21.96%)with CFS among the 1 002 officers and soldiers.Univariate logistic regression showed that age(≥25 years),sex(male),body mass index(BMI),marital status(married or divorced),working years≥6 years),job nature(management),sleep time(<6 hours),alcohol consumption,weekly exercise(more than 3 times),anxiety,depression,and various types of constitution(type A-I)in the CFS group were significantly different from those in the non-CFS group(all P<0.05).Multivariate logistic regression showed that age(≥25 years,OR=1.851,95%CI:1.278-2.682),sleep time(less than 6 hours,OR=2.026,95%CI:1.367-3.004),alcohol assumption(OR=1.969,95%CI:1.172-3.305),yin deficiency(type D,OR=1.696,95%CI:1.012-2.842),phlegm-dampness(type E,OR=1.750,95%CI:1.055-2.902),and qi stagnation(type H,OR=2.703,95%CI:1.674-4.365)were the risk factors for CFS,and peace quality(type A)was a protective factor for CFS(OR=0.240,95%CI:0.154-0.372).Conclusion There is a high incidence of CFS(21.96%)in officers and soldiers on islands and reefs.The occurrence of CFS is related to the TCM constitution.People with yin deficiency,phlegm-dampness and qi stagnation are more likely to suffer from CFS.Age above 25 years,less than 6 hours of sleep,and alcohol consumption are risk factors for CFS.

Islands and reefsOfficers and soldiersChronic fatigue syndromeIncidenceInfluencing factors

余嘉惠、沈诞、郑国银、李家熠、王丽娜

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200433 上海,海军军医大学中医系

200433 上海,海军军医大学基础医学院

岛礁 官兵 慢性疲劳综合征 发病率 影响因素

国家自然科学基金青年科学基金军队重点学科专业建设项目(十三五)军委中医药服务能力提升项目海军军医大学中医系薪火传承项目

821050052020SZ06-92023ZY003ZY2021012

2024

海军医学杂志
海军医学研究所

海军医学杂志

CSTPCD
影响因子:0.518
ISSN:1009-0754
年,卷(期):2024.45(4)
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